WQ0007349_Residual Annual Report 2020_20210219

Initial Review
Reviewer Thornburg, Nathaniel
Is this submittal an application? (Excluding additional information.)*
r Yes r No
If not an application what is the submittal type?* r Annual Report
r Residual Annual Report
r Additional Information
r Other
Annual Report Year* 2020
Permit Number (IR)* WQ0007349
Applicant/Permittee Yadkin Valley Sevmer Authority
Email Notifications
Does this need review by the hydrogeologist?* 0 Yes r No
Regional Office Winston-Salem
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Rease provide inforration on the person to be contacted by N B Staff
Name * Zach Key
Email Address*
[e-mail]
electronic subnittal, confirmation of receipt, and other correspondence.
Project Information
........ .....................................................................................................................................................
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
Phone Number*
3369577871
O Modification - Minor
C Renewal
C GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
r Residual Annual Report
r Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:* r Wastewater Irrigation r High -Rate Infiltration
r Other Wastewater r Reclaimed Water
r Closed -Loop Recycle r Residuals
r Single -Family Residence Wastewater r Other
Irrigation
Permit Number:* W00007349
Fbs Current Existing permt number
Applicant/Permittee Address* PO Box828 Elkin, NC 28621
Facility Name * Yadkin Valley Sewer Authority RLAP
Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Specifications, Calculations, Rc.)
2020 Annual Report-YVSA.pdf 1.54MB
Upload only 1 FLFdocurrent (less than 250 NB). Miltiple documents rust be contained into one FDFfile unless file is larger than
upload limit.
* V By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
Submission Date 2/19/2021

2020
Yadkin Valley Sewer Authority
2020 Annual Report
Land Application Program
Permit No. WQ0007349

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0007349 County: Sorry Year: 2020
Facility Name (as shown on permit):
Land Application Operator:
Yadkin Valley Sewer Authority
US Biosoilds, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
�d Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Total number ofapplication fields in the permit:1 10
Total number of fields utilized for land application during the year:1 2
Total amount of dry tons applied during the year for all application sites:f 44.17
Total number of acres utilizes for land application during the year: 16.2
Part B - Annual Comnianee Statement:
Facility was compliant during calendar year 2020 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. 0 Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pl I was adjusted as specified in the pertnit and time was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was perflormed in accordance with the permit and reported during the year as required and three
(3) copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T . 1105(a) or the Pollutant
Loading Rates in 15A NCAC 021' .1 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .I 1 I I were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring we] I or explanations of violations are
attached to include appropriate actions and remediations.
1 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runotTof residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"1 certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
%Vl C o I J c ii r� 5 7C'� �'c . ✓c �irrc
Name and Title (type or print)
/I.V YL+C 1llfl�
Signature of Preparer*
Signature of Permittee Date
3 OL t -1-J
Date Sizilature of
Appl ier
a-3- a ail
Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1 102 (26) DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0007349
Facility Name: Yadkin Valley Sewer Authority
Residual Source WQ # or WQ0007349
NPDES #:
WWTP Name: Yadkin Valley Sewer Authority
1?-;.11 A1.,;. Tl-f-
Laboratory:
1)
2)
3)
4)
5)
Waypoint Analytical
Parameter
(mg/kg)
Conc.
Limit
(mg/kg)
Sample or Composite Date
10-5-20
Percent Solids (%)
NA
291
Arsenic
75
17.2
Cadmium
85
3.45
Copper
4,300
614
Chromium
NA
32.9
Lead
840
23.7
Mercury
57
0.717
Molybdenum
75
8.62
Nickel
420
17.2
Selenium
100
17.2
Zinc
7,500
614
Total Phosphorus
NA
33900
TKN
NA
65200
Ammonia -Nitrogen
NA
2690
Nitrate and Nitrite
NA
1 167
3 For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalti s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Prcparer * Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - S
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0007349
Facility Name: Yadkin Valley Sewer Authori
Residual Source WQ0007349
NPDES # or WQ#:
WWTP Name: Yadkin Valley Sewer Authority
Residual Analvsis Data
Laboratory: 1) Waypoint Analytical
2)
3)
4)
5)
. -
Parameter
®-
----------Potassium
-
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
al3 l �l
Date
DENR FORM RSSF - B (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Yadkin Valley Sewer Authority Total Dry Tons Applied (Annual): 23.66
Permit #: WQ0007349 Cation Exchange Capacity (non 503 only):
Operator: Bill Hinson Owner: Bill Hinson Predominant Soil Series: FcB2
Acres Used: 9.3 Acres Permitted: 9.3 Site #: BH-01 Field #: BH-01
Residual Analvsis Data (Heavv Metals and Total Phosphorus use mz/ka, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
10/5/20
z
3
a
5
6'
7
8
9
1.91
11 F
12
% Solids
2.91
Arsenic
17.2
Cadmium
3.45
Copper
614
Chromium
32.9
Lead
23.7
Mercury
0.717
Molyb-
denum
Nickel
17.2
Selenium
17.2
Zinc
614
Total
Phos-
horus
33900
Annual fleavv Metal Field LoadinEs (Calculated in lbs/acre):
Total
1'
?
3
4
5'
8
7
8
9
10
11
12i
DTIA c.l
e
A pp.
Event
2.54
"
Arsenic
0.088
0.000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0.000
0.000
0.000
0.088
Cadmium
0.018
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.018
Copper
3.124
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.124
Chromium
0.167
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.167
Lead
0.121
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.121
Mercury
0.004
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
Molyb-
0.044
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.044
denum
Nickel
0.088
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.088
Selenium
0.088
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.088
Zinc
3.124
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
3.124
Total
Phos-
172,483
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
172.483
horus
1 certify, under penauy of taw, tnat this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier Date
DENR FORM MFLSF (1212006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: YVSA
Land Owner: Bill Hinson
Operator: Bill Hinson
Crop 1 Name: Fescue
WQ Permit #: WQ0007349 Field #: BH1
Annual Dry `tons Applied: 23.6627 Site #: BHI
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 194 Crop 2 Name:
Acres Utilized: 9.3
Acres Permitted: 9.3
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
p s
❑
Volume applied
(enter one) Solids/
l,iyuid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NPDF.S #_ WQ#.
Fert.. Animal
Waste. ctc)
Soil
Cond.
Wet.
Moist)
Precip.
Past 24
I Irs.
inches
D
K-
i;:
6 _
_^
c
y 2
N
K.
x
N
] KN
mg/kg
z Y
e
�.
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
Name of CropTSpe
a
Receiving. Residual
Application
Crop 1
Crop 2
Crop i
Crop 2
6-2020
130000
2.91
1.696
W00007349
dry
0
s
0.5
0.3
65200
2690
1687 1
73.906
NA
Fescue
9-2020
65000
2.91
0.848
WQ0007349
dry
i}
s
0.5
0.3
65200
2690
1687
36.953
NA
Fescue
0.000
0.000
0.000
0.000
o.00o
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
1950001
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
110.858
0.000
Lime Applied
Annual lbs/acre
0.088
0.019
3.124
0.167
0.121
0,004
0.044
0.088
0.088
3.124
172.483
Date
lbs/ac
Prior Years Cumulative Ibslac
0.556
0.078
21.837
2.133
1.455
0.06
0.266
1.074
0.219
31.287
12-20
2000
Current Cumulative lbs/ac
0.644
0.096
24.961
2.300
1.576
0.064
0.310
1.162
0.307
34.411
Permitted C. P. L. R.****
36
34
1338
NA
1 267
15
NA
1 374
1 89
2498
Permit PAN Limit Ist/2nd Crop
1 194
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier ©ate *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loadinz Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Yadkin Valley Sewer Authority Total Dry Tons Applied (Annual):
WQ0007349 Cation Exchange Capacity (non 503 only):
Bill Hinson Owner: Bill Hinson Predominant Soil Series:
6.9 Acres Permitted:
20.51
Fcl32
6.9 Site #: BH-05 Field #: BH-05
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ##):
Sample or
Com-
posite
Date
_....
..1
10/5/20
2;
...._1
3
_._....
a!
5'
_
6
_.__..)
7
_
S',
_._
9
10J
11
12
Solids
291
Arsenic
17.2
Cadmium
3.45
Copper
614
Chromium
32.9
Lead
23.7
Mercury
0.717
Molyb-
denum
g 62
Nickel
17.2
Selenium
17.2
Zinc
614
Total
Phos-
horus
33900
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1',
21
2
a'
S
6
7
81
9',
10E
11'
12!
DT/Ac./
o
App.
r.
Event
2.97
Arsenic
0.102
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.102
Cadmium
0.021
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.021
Copper
3.650
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.650
Chromium
0.196
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.196
Lead
0.141
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.141
Mercury
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
Molyb-
0.051
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.051
denum
Nickel
0.102
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.102
Selenium
0.102
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.102
Zinc
3.650
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.650
Total
Phos-
201,502
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
201.502
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applie r
a'3-')0a1
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" 1N A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: YVSA WQ Permit #: WQ0007349
Field #: BH5 Acres Utilized: 6.9
Land Owner: Bill Hinson Annual Dry Tons Applied: 20.5076 Site #: BH5 Acres Permitted: 6.9
Operator: Bill Hinson Predominant Soil Series: Fc$2 Cation Exchange Capacity (non 503):
Cron I Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
s
o
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
D Tons/Ac
(Dry i
Residual Sources
(NPDFS #, WQ#.
Fert., Animal
Waste. etc)
Sii1
Cond.
(Dry_
Wet.
Moist)
Precip.
Past 24
Hrs.
ncnes
>
n
o w
c
=
�'
ro
a -
N
I'KN
mg/kg
Z >
a
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lips/acre)
Name of Crop'l'ype
Receiving Residual
Application
pp
Crop 1
Crop 2
Crop I
Crop 2
6-2020
84500
2.91
1,496
WQ0007349
dry
0
s
0.5
0.3
65200
2690
1687
64.748
NA
Fescue
9-2020
84500
2.91
1.486
WQ0007349
dry
0
s
0.5
0.3
65200
2690
1687
64.748
NA
Fescue
0.000
0.000
0,000
0.000
1
0.000
0.000
0.000
0.000
0,000
0.000
o.00o
0,000
0.000
0,000
0.000
0.000
0.000
0.000
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
01
169000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
129.4951
0.000
Lime Applied
Annuallbs/acre
0.102
0.021
3.650
0.196
0.141
0,004
0.051
0.102
0.102
3.650
201.502 11
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0.14
0,039
11.992
1.239
0.835
0.038
0.148
0.598
0.117
18.003
12-20
2000
Current Cumulative lbs/ac
0.242
0,060
15.642
1.435
0.976
0.042
0.199
0.700
0.219
21.653
Permitted C. P. L. R.****
36
34
1338
NA
267
IS
NA
374
89
2498
Permit PAN Limit Ist/2nd Crop
194
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
7-1- 2021
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Yadkin Valley Sewer Authority
WWTP Name: Yadkin Valley Sewer Authority
Monitoring Period: From I/l/2020 To
WQ Permit Number: WQ0007349
NPDES Number: NCO020567
12/31 /2020
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt` A (tithe/temp) LJ I
Alt B (Alk Treatment)® 7Alt.
C (Prior Testing)®
Alt.D (No Prior Test) 0 1
Process to Further Reduce Pathogengs
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost Li
Heat Drying ®
Heat. Treatment 0
Thertnophilic 3
Beta Ray Ll
Gatntna Ray CJ
Pasteurization LJ
Class B:
JAIL (1) Fecal Density D
Alt. (2) Process to Significantly Reduce Pathogens
If applicable to alternative performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization
Air Drying ®
Cotn ostin
Aerobic Digestion LJ
Anaerobic Digestior El
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number o
Excee-
ences
Frequency
of Analysis
Sample
Type
Analytical
Tech -
Minimum Minimu
Geo. Mean
Maximu
Units
Decal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
65573
68115
70175
MPN/g
0
7
grab
sm9221
Ct iJ
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.I (VS reduction) i.-j
Alt. 2 (40-day bench) ®
Alt. 3 (30-day bench) 0
Alt. 4 (Spec. O, uptake) j
Alt. 5 (14-Day Aerobic)
Alt. 6 (Alk. Stabilization L]
Alt 7 (Drying - Stable) L,I
I Alt. 8 (Drying - Unstable)
Alt. 9 (injection) Lj
Alt. 10 (Incorporation) ll
No vector attraction reduction alternatives were performed
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
L "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
P� —TTA-V�Qtk. 01'p—c Dennis Key US Biosolids, Inc.
Prep rer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signature of Preparer* Date Signa ure of Lan Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
DENR FORM PVRF 02T (12/2006)

Waypointo
ANALYTICAL
46381
Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River , NC 28669
Report Number : 20-280-0003
Lab No : 73889
Sample ID : YUSA
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 11 Fax [phone]
www.waypaintanaloraI.com
Project US Biosolids Inc
Information
REPORT OFANAL IKSIS
Report Date : 10/14/2020
Received : 10/06/2020
(7Q0C(y
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled: 10/5/2020 11:00
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
Moisture 97.1 % 0.010 1 10/12/2017:50 FMM SM-254OG
Test Results Units MQL DF Date ITime By Analytical
Analyzed Method
Ammonia Nitrogen
2690
mg/Kg - dry
862
1
10/13/20 14:00
JPJ
SM-4500-NH3C
Nitrate+Nitrite-N
167
mg/Kg - dry
165
1
10/13/20 13:51
ZBD
4500NO3F-2011
organic N
62400
mg/Kg - dry
8620
1
10/13/20 10:00
CALCULATION
pH
6.1
s.u,
1
10/12/2016:30
ADM
9045D
Total Solids
2.91
%
0.010
1
10/12/20 17:50
FMM
SM-2540G
Total Kjeldahl Nitrogen
65200
mg/Kg - dry
8620
1
10/13/20 10:00
JPJ iM-4500-NH3C-TKP
Phosphorus
33900
mg/Kg - dry
172
1
10/10/20 03:34
]ADS
6010D
Aluminum
52800
mg/Kg - dry
172
1
10/10/20 03:34
]ADS
6010D
Arsenic
<17.2
mg/Kg - dry
17.2
1
10/10/20 03:34
)ADS
6010D
Calcium
10200
mg/Kg - dry
1720
1
10/10/20 03:34
]ADS
6010D
Cadmium
<3.45
mg/Kg - dry
3AS
1
10/10/20 03:34
)ADS
6010D
Chromium
32.9
mg/Kg - dry
8.62
1
10/10/20 03:34
]ADS
6010D
Copper
614
mg/Kg - dry
17.2
1
10/10/20 03:34
]ADS
6010D
Iron
27300
mg/Kg - dry
345
1
10/10/20 03:34
3ADS
6010D
Lead
23.7
mg/Kg - dry
10.3
1
10/10/20 03:34
JADS
6010D
Magnesium
3660
mg/Kg - dry
172
1
10/10/20 03:34
]ADS
6010D
Manganese
486
mg/Kg - dry
17.2
1
10/10/20 03:34
]ADS
6010D
Qualifiers/ DF
Dilution Factor
L
Limit Exceeded
Definitions MQL
Method Quantitation Limit
Page 3 of 7

r
Waypoint,
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 o Fax [phone]
ANALYTICAL
www.waypointanalytical.com
46381
Southern Soil Builders
Project
US Biosolids
Inc
Dennis Key
Report Date : 10/14/2020
958 Hoots Road
Information :
Received : 10/06/202G
Roaring River , NC 28669
Pauric Mc Groary Ph.D., CPA
Report Number: 20-280-0003
REPORT OFANAL YSIS
Agronomist
Lab No : 73889
Matrix: Solids
Sample ID : YUSA
Sampled: 10/5/2020 11:00
Test
Results
Units
MQL
OF Date / Time By Analytical
Analyzed Method
Mercury
0.717
mg/Kg _ dry
0.507
1 10/13/20 13:20 DDB SW-7471B
Molybdenum
<8.62
mg/Kg - dry
8.62
1 10/10/20 03:34 )ADS 6010D
Nickel
17.2
mg/Kg - dry
8.62
1 10/10/20 03:34 )ADS 6010D
Potassium
4760
mg/Kg - dry
345
1 10/10/20 03:34 )ADS 60101)
Selenium
<17.2
mg/Kg - dry
17.2
1 10110/20 03:34 DADS 6010D
Sodium
2030
mg/Kg - dry
862
1 10/10/20 03:34 JADS 6010D
Zinc
614
mg/Kg - dry
43.1
1 10/10/20 03:34 )ADS 6010D
Sulfur
S930
mg/Kg - dry
345
1 10/13/20 00:08 )ADS 6010D
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 4 of 7

SAMPLETRAN
'r)_' I %% hIt. in, kt);t,i k3chr3.,i;td V A
S)vulhom Soil budded-, t4-9'.04
W; ti W Amlx 1w
46381
• •:I�i'•�It'3"i1 S:t�Err
Submitted By �.�. Charge To Copy To
US Biosolids, Inc.
US Biosolids, Inc.
i US Biosolids Inc,
958 Hoots Road
958 Hoots Road
958 Hoots Road
Roaring River, NC 28669 Roaring River, NC 28669 Roaring River, NC 28669
Project � /
V
Sample Information
Sample IB
Lab NI xnber Callectrrin information
Ob € se
1 oDate T,me
-Yoe,
I
Container Information r lease Check Desired Tests
N;,imber
nt 3n.ties
Type volume SL1
SL2
503
Metals
Nitrogen
series
�
PH i CC_
�
Ag � CI
�
vutatlte
Others
Srrlld5
I
g 3
:Onto
Pi�SE�e
a
3� Crab
ie
` SJ'a
j
_- ..�
�
t
,.,lass
—
R,OML
# t
.- 07
GlassOve
� �lasac
_.._..
iI
1
t _....._
I I
j
Grab
Gom�os'e
Class
'
Time
Reim uistud B S nature
Date
Received By Si nature
"ate
O
�.
E
Test Package Details
S eciat instructions or Remarks
tit.t i :11£31l f4teii':
lt_
503 Metals: A-semc� Cadm;um Cnroml rn.. Mercury. Molybdenum,, Lead, NTke3, Selen,un,.
(copper & Zinc Incluci Ptl In SL22
Ltlr€x�rn �erirs: l.xt= i r a[d;tl�- 1a1.•,=-;t,.im N-.tt n
CCE. Cal€au"i %/;)kj, (1-of L. rte .I ealeo Sludq(n
E r
m.. r..._.__..._�
Q)
tT
ro
a

PAN
Mineralization
as decimal
ITotal dry
tanslyear
jAcres
I Applied on
Rate
0.3
TKN
65200
NH3
1 2690
NO3
167
NO2
0
% Solids
0.0291
PAN Surface
20265 mg/kgmg/kg 40.53 lbs/dry ton
01 Ibs total PAN
#DIVIO! Ibs PAN/acre
PAN Injection
21610 m !k 43.22 lbs/dry ton
0 Ibs total PAN
#DIVIO! Ibs PANlacre
Dry Tonsl1000 gal.
0.121347
1st year PAN
Surface lbs.
0
1st year PAN
Injected Ibs.
0
Ibs.lacre
Surface
#DIV/0!
Ibs./acre
Injected
#DIV/0!
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mglkg
mglkg x .002 =lbsldry ton
MR(TKN-NH3) + l(NH3)+NO3+NO2 =mglkg
mg/kg x .002 =lbsldry ton
1000 X 8.34 X %solids X sp_gravity
2000
"=dry tons/1000gal."

SAR
Sodium Absorption Ratio
Na : Sodium (MgIL) Equivalent weight: 23
Ca: Calcium (MgIL) Equivalent weight: 20
Mg : Magnesium (MgIL) Equivalent weight: 12
Milli Equivalent = MgIL 1 Equivalent weight
Na M IL Ca M IL M MIL
59.07 1 296.82 1 106.5
Na NEI
I 94-NEB
I Mg-LMQ
2.568261
14.841
8.875
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent * Mg Milli equivalent)]0.5 power
SAR = 0.745819 (From MgIL entered above)
SAR= 0.417061 (From ME entered below)
Na ME
Ca (ME)
Mq (ME)
0.29
1 0.328
I 0.639
The amour
amount of t
Permitting

Analytical Results STATESVILLE
ANALYTICAL
U.S. Biosoilds Inc
958 Hoots Road
Roaring River, NC 28669
Receive Date: 03/17/2020
Reported: 03/19/2020
For: YVSA
Comments: GM 68,115 MPNIg
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
200317-37-01
Fecal Coliforms
1
68966
MPNIg
SM92210E-2006
03/18/2020
WC
200317-37-01
Percent Solids
1
3.48
ova
SM25 O8.2011
03/18/2020
WC
200317-37-02
Fecal Coliforms
2
69565
MPNIg
SM92210E-2006
03/18/2020
WC
200317-37-02
Percent Solids
2
345
%
SWWR-2911
03/18/2020
WC
200317-37-03
Fecal Coliforms
3
66667
MPNIg
SM92210E-20os
03/18/2020
WC
200317-37-03
Percent Solids
3
360
%
SM254OB-2011
03/18/2020
WC
200317-37-04
Fecal Coliforms
4
67989
MPNIg
SM92210E-2006
03/18/2020
WC
200317-37-04
Percent Solids
4
353
%
SM25405-2011
03118/2020
WC
200317-37-05
Fecal Coliforms
5
70175
MPN/g
SM92210E-2006
03/18/2020
WC
200317-37-05
Percent Solids
5
342
%
SM254OB-2011
03/18/2020
WC
200317-37-06
Fecal Coliforms
6
67989
MPNIg
SM92210E-2006
03/18/2020
WC
200317-37-06
Percent Solids
5
353
%
SM25AOB 2011
03/18/2020
WC
200317-37-07
Fecal Coliforms
7
65573
MPNIg
SM92210E-20M
03/18/2020
WC
200317-37-07
Percent Solids
7
3.66
%
SM254OB-7011
03/18/2020
WC
Respectfully submitted.
Dena Myers
NC Cert #440,
NCDW Cert #37755.
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2

Client,
TATFSMI_I_F.
Address: o r+,f 6
^_
�� ; owt it ct Ra l]
1ZZe MM srr«, • ra � zza
slM�,A,E8, 2u 963,
P944t k �$C7
7
Canted Perron: Phone * Fes*
3 c•� ry
Chain of
Requieilioned by:
Custody Record
G ID N
SampNIDf rebonyy
(�+�_�?_..�.......
w '"'" ------
T
Y �s I
2GQ3J�. 37.
r --
:1-17 p0
_
2
- -- ---- —
0
x
_—
Relinquished by:
Time _L�Lo dm, pm Date ! r�i! DO
Sampled by:
Aecoived by: - ._
j
Time I000am, pm Dais 3�'7�
Transported by
Relinquished by:
-
Time am, pm Date _l �l
Holding times met: f
fr
Received by:
Time am, pm Date . 1
Compliance work:
Composite Settnnling I ; _
Time begin am, pm Date
Non-compliance work:
Tune end am. pm Date _____l_1_
lab Comments: 3ampkw Transposed On be:
Time begin am, pm Dale ---.J_.
Tkm end am, pm Date
0o
W
00
U
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LA
co
rV
rV
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m
0

Analytical Results
U.S. Biosolids Inc
958 Hoots Road
Roaring River, NC 28669
Receive Date: 07/30/2020
Reported: 09/08/2020
For: YVSA
Comments:
4 STATESVILLE
ANALYTICAL
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
200730-22-01 30 Day Benchscale YVSA
Respectfully submitted,
'Op 'j,O, I
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
% taa625-R-92Ya 07/30/2020 WC
PO Box 228 a Statesville, NC 28687 • 704/872/4697
Page 1 of 3

Condition of Receipt
Sample Number 200730-22-01 Temp on Arrival: 4.5
Parameter Schedule:
Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

Client:
'^
A
S TAT FS V I I, L. iF
ANALtr1tCA#.
122 coed swa • P.U. Box =
sw.w.ills, NC 2607
r' C7N1 N72.I647
Own of
Custody Record
Address: as
iT V r !Y V `Q
contact Person: "none" 336- y �� • s3 (? � *
PO 0_ Requlsiitoned by: rime Dare!
Cuseorrra
3wnple IDN
Lab -ID N
1" Sampled
(Grab Orgy)
Dole Sampled
(Omb Onp
aldf
rarsmeltn r quated for.mJr»s
--_---. _---_ .
w
T ww
Relinquished by:
Received by:
Relinquished by:
Received by:
Time begin am, pm Date/
Time end aril, pm Date
Comooatte SamRjjng2:
Time begin--- - am, pm Date--
Time end am, pm Date
_.-_-. --
!J
//
! -j _
! !
Time V
Time
Time
---.._- Time
Lab Commends:
am, @ Date �J� 1 0 Sampled by l,,1
vv
am,goDate 2 �! Transported by:
am, pm Date - Holding Holding limes met:
am, pm Date �_1�
Compliance work:
Non-compliance work:
— Samples Transported On Ice:
Indiab:
I I
n
00
W
00
N
l.1
ai
a
00
N
N
x
0
CO
O
CL

�' ZAnalytkjlo
I
ANALYTICAL RESULTS
Project: YVSAIUS BIO
Pace Project No.: 92470434
Papa Analytical Services, LLC
9800 Kincey Ave. SuRe 100
Huntersville, NC 2OD78
(704)875-M2
Sample: 200317.36.01 Lab ID: 924704MOl Collected: 03/17/20 13:00 Received: 03120/20 09:30 Matrix: Solid
Results reported on a 'dry welghr basis and are adjusted for percent molshwa, sample she and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Dual
Chlorinated Herb. (GC) 8151A Analytical Method: EPA 8151A Prsparation Method: 8151A
Leachate Method/Date: 1311; 03126/20 10:33 Initial pH: 6.33: Final pH: 4.94
Pace National - Mt. Juliet
2,4,5-TP (Sitvex) N❑ mglL 0.00200 1 03127/20 08:22 03/27/20 16:37 93-72-1
2,4-D NO mg/L 0.00200 1 03127M 08:22 03/27/20 16:37 94-75-7
Surrogates
2,4-OCAA (S)
67A %
14.0-158 1
0&27120 08:22 03/27120 16:37 19719-28-9
U1411 TCLP Pesticides RVE
Analytical Method: EPA 8081 B Preparation Method: EPA 3610C
Leschate MethodlDate: EPA 1311; 03/26/20 16:12
Pace Analytical Services - Charlotte
gamma-BHC (Lindane)
NO ug/L
0.50 1
03/30120 17:06 04/01/20 15:39 58-89-9
Chlordane (Technical)
ND ug/L
3-0 1
03l30120 17:06 04/01/20 15:39 57-74-9
Endrin
ND ug/L
0.50 1
03/30/20 17:06 041010) 15:39 72-20-8
Heptachlor
ND ug/L
0,50 1
0313012017:06 04101/2015:39 76-44-8
Heptachlor epoxide
ND ug/L
0.60 1
03130l2017:06 0410112015:39 1024-57-3
MethoxydNor
ND ug1L
1000 1
0313012017:06 0410112015:39 72-43-5
Toxaphene
ND uglL
3.0 1
0313012017:06 04101/2015:39 0001-35-2
surrogates
Decachlorobiphenyl (S)
78 %
10-138 1
03130/2017:06 04101/20 15:39 2051-24-3
Tahachloro-m-xylene (S)
13 %
10-110 1
03/30/20 17:06 04101/20 15:39 877-09-8
801i2 TCLP PCBs RVE
Analytical Method: EPA 8082A Preparation Method: EPA 3510C
Leachate Method/Date: EPA 1311: 0312"
16:12
Pace Analytical Services - Charlotte
PCB-1016 (Aroclor 1016)
NO ug/L
1000 1
03130/20 17:41 03/31120 23:26 12674-11-2
PCB-1221 (Aroator 1221)
ND ug/L
1000 1
03/30/20 17:41 03/31120 23:26 11104-28-2
PCB-1232 (Aroclor 1232)
NO ug/L
1000 1
03t30/20 17:41 03131/20 23:26 11141-16-5
PM1242 (Amclor 1242)
NO ug/L
low 1
0313WO 17:41 0313112023:26 53469-21-9
PCB-1248 (Anxdor 1248)
ND uglL
1000 1
031301P0 17:41 03/31120 2326 12672-29-6
PCB-1254 (Aroclor 1254)
NO uglL
1000 1
03130/20 17:41 03/31120 23:26 11097.69A
PCB-1260 (Arodor 1260)
NO ug/L
1000 1
03/30/20 17:41 0313112G 23:26 11096-82-5
Surrogates
Decechbrobiphenyl (S)
19 %
10.132 1
03130/20 17:41 0313112023:26 21151-24-3
6010 MET ICP, TCLP
Analytical Method: EPA 6010D Preparation Method: EPA 3010A
Leachate Method/Date: EPA 1311: 04101120 16:10 Initial pH: 776; Final pH: 4.5
Pace Analytical Services - Asheville
Arsenic
ND mg/L
0.050 1
0410212011:11 W0212017:46 7440-38-2
Barium
0.37 m91L
0.25 1
04102(20 11:11 04/02120 1746 7440-39-3
Cadmium
ND mg/L
0.0050 1
04/0212011:11 0410212017746 7440-43-9
Chromium
NO mg1L
0.050 1
04102/20 11 11 04102l2017:46 7440-47-3
Lead
ND mg1L
0.025 1
0410212011:11 0410212017:46 7439-92-1
Selenium
ND mg/L
0.10 1
04102/2011:11 04)0212017746 778249-2
Silver
ND mg1L
0.025 1
04/0212011:11 0410212017:46 7440-22-4
REPORT OF LABORATORY
ANALYSIS
This report shall nut be reproduced. etcept
in ruil.
Date: 04/03/2020 04:55 PM
without the written consent of
Pace Anatytical Services. LLC-
Page 5 of 27
PO Box 228 a Statesville, NC 28687 a 704/872/4697
Page 14 of 38

CeA 1aykafe
ANALYTICAL RESULTS
Pau Analytical Servicaa, LLC
9500 K"Ave. Suite 100
Hunlersville, NC 26078
[phone]
Project: YVSAIUS BIO
Pace Project No.: 92470434
Sample: 200317.36.01
Lab to: 92470434001 Collected: 0311712013:00
Received: 03120/2009:30 Mat7tx: Solid
Results reported on a .dry weight' basis and are jqusted for percent moisture, sample size and any dilutions.
Parameters
Results
Units Report Limit
OF
Prepared Analyzed CAS No.
dual
7470 Mercury, TCLP
Analytical Me01od: EPA 7470A Preparation Method, EPA 7470A
Leachate McModlDate: EPA 1311: 04101/20 16:10
Initial pH: 7.76; Final pH: 4.5
PaceAna"rat
Services -Asheville
Mercury
NO
mg1L
0.00020
1
0410212011:35 0410212015:57 7439,97-6
8270E TCLP RVE
Anatyticat Method: EPA 8270E Preparation Method: EPA 3510C
Pace Analytical
Services - Charlotte
1,4-Dichlombenzene
ND
ug1L
250
5
03131t2015:03 04101120 12:27 10646-7
2,4-Dinitrotoluene
ND
ug1L
250
5
0313112015:03 M01/2012:27 121-14-2
M1
Hexachioro-1,3-butadiene
NO
uglL
250
5
03/31/2015:03 0410112012:27 87-68-3
Hexachlorobenzene
NO
ug1L
250
5
03/31/20 15:03 04/01/20 12:27 118-74-1
Hexachloroethane
ND
ug1L
250
5
03131/20 15:03 04101/20 12:27 67-72-1
2-Methylphenopo-Creso4)
NO
uglL
250
5
0313112015:03 0410112012:27 95-48-7
3&4-Methylphenol(m&p Cresol)
1090
ug1L
250
5
03131120 15:03 04/01120 1227 15831-104
Nitrobenzene
NO
ug1L
250
5
03131120 15:03 0410112012:27 W95-3
Pentachlorophenoi
NO
ug1L
500
5
03131120 15:03 04101120 12:27 87.8&5
M1
Pyridine
NO
ug1L
250
5
03131/20 15:03 0410112012:27 110-W-1
2,4,5-Trichlorophenoi
NO
ug1L
250
5
03131/20 15:03 0410112012:27 95-95-4
M1
2,4,6-Trichlorophend
NO
ug1L
250
5
03131/20 15:03 0410i12012:27 88-06-2
M1
Surrogates
Nitrobenzene-d5 (Sj
48
%
12-102
5
03131/20 15:03 04101I20 12:27 4166-60-0
D3
2-Fluombiphenyl(8)
40
%
13-107
5
03131/20 15:03 04101/20 12:27 321-60-8
Terphenyl-d14 (S)
43
%
21-132
5
03131/20 15:03 04/01/20 12:27 1718-51-0
Phenold6 (S)
27
%
10-110
5
03131120 15:03 04101120 12:27 13127-88-3
2-Flumphenot (S)
29
%
10-110
5
03131120 15:03 04101120 12:27 367-124
2,4,&Tribromophenol (S)
38
%
27-108
5
G313112G 15:03 04/01/20 12:27 118-7"
82800 MSV TCLP
Analytical Method: EPA 8260D
Pace Analytical
Services - Charlotte
Benzene
ND
ug1L
100
20
03131/20 04:28 71-43-2
2-Butanone (MEK)
ND
ug1L
200
20
03/31M 04:28 78-93-3
Carbon tetrachloride
ND
ugfL
100
20
03131120 04:28 56-235
Chlorobenzene
ND
ug1L
100
20
03131/20 04:28 108-90-7
Chlorolotm
ND
ugR
100
20
03131120 04:28 67-W3
1,4-Dichlorobenzene
NO
uglL
100
20
031311200428 10646-7
1,2-Dichloroethane
NO
ugfL
100
20
0313112004:28 107-06-2
1,1-Dichloroethene
ND
ug1L
100
20
03131120 04:28 75-354
Tetrachloroethene
NO
uglL
100
20
03/3112004:28 127-184
Trichioroethene
NO
uglL
100
20
03/3112004:28 79-01.6
Vinyl chloride
ND
ug1L
100
20
03/3112004:28 75-014
Surrogates
1,2-Dichloroethaned4 (S)
102
%
70-130
20
03/31120 04:28 17060.07-0
Toluene-& (S)
107
%
67-135
20
03/31/20 04:28 2037-26-5
4-Bramofluorobenzene(S)
105
%
70-130
20
03/31/20 04:28 460-00-4
REPORT OF LABORATORY ANALYSIS
This report Shall not be reproduced, except in full,
Date: D410312020 04:55 PM without Me written consent or Pace Analytical Services, LLC.
Page 6 of 27
PO Box 228 a Statesville, NC 28687 a 704/872/4697
Page 15 of 38

ANALYTICAL RESULTS
Project: YVSAIUS 810
Pace ProjectNo.: 92470434
Pace Analytical Services, LLC
9800 Kincey Ave- Suite 100
Huntersolle, NC 28070
[phone]
Sample: 200317.36.01 Lab ID: 92470434001 Collected: 03/17120 13:00 Received: 03120120 09:30 Matrix: Solid
Results reported on a dry weight' basis and are adjusted for percent moisture, sample alze and any dilutions.
Parameters Results Units Report Limit OF Prepared Analyzed GAS No. Qual
Percent Moisture
Analytical Method: ASTM D2974$7
Pace Analytical Services - Charlotte
Percent Moisture
96.5 %
0.10 1 03/23120 15:25
1010 FlashpolMClosed Cup
Analytical Method: EPA 1010A
Pace Analytical Services - Asheville
FEashpoint
;-200 deg F
70.0 1 03131120 10:48
9045 pH Soil
Analytical Method: EPA 90450
Pace Analytical Services -Asheville
pH at 25 Degrees C
6.7 Std. Units
0.10 1 03130120 14:27
9095 Paint Filter Liquid Test
Analytical Method: EPA 9095B
Pace Analytical Services -Asheville
Free Liquids
Fail
1.0 1 03/26120 15:08
T33C S Reactive Cyanide
Analytical Method: EPA9014 Preparation Method: SW-W 7.3.3.2
Pace Analytical Services - Greensburg
Cyanide, Reactive
NO mg/kg
28.8 1 03123120 15:02 0312312015:36
734E Reactive Sulfide
Analytical Method: SM 4500S2F-2011 Preparation Method: SW-846 7.3.4.2
Pace Analytical Services - Greensburg
Sulfide, Reactive
NO mg/kg
288 1 03/23120 15:02 03123/2015:03
H3
Sample: 200317.36.01 PCB Lab lC: 92470434002 Collected: 03/17/20 13:00 Received: 03120M 09:30 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
SM GCS PCB RYE
PCB-1016 (Arodor 1016)
PCB-1221 (Arodor 1221)
PCB-1232 (Aroclor 1232)
PCB-1242 (Arodor 1242)
PCB-1248 (Arodor 1248)
PCB-1254 (Arocior 1254)
PCB-1260 (Arocior 1260)
Decachhorobiphenyl (S)
Date: 04103/2020 04-55 PM
Analytical Method: EPA8W2A Preparation Method: EPA3510C
Pace Analytical Services - Charlotte
NO
uglL
2.5
1
0313112015:55 04101/2022:13 12674-11-2
NO
ug1L
2.5
1
03/31/20 15:55 04101120 22:13 11104-28-2
NO
ugrL
2.5
1
03/31/20 15:55 04101/20 22:13 11141.16.5
NO
ug1L
2-5
1
0313112015:55 04101/2022:13 53469-21.9
NO
ug+L
2.5
1
0313112015:55 04101/2022:13 12672-29-6
NO
ug1L
2.5
1
0313112015:55 04101/2022:13 11097-69-1
NO
ugrL
2.5
1
03/31/20 15:55 04/01/20 22:13 11096.82-5
35
%
10-130
1
03Q1120 15:55 04/01/20 22:13 2051-24-3
REPORT OF LABORATORY ANALYSIS
This report shall not the reproduced, except in full.
Widwul the Written Consent of Pace Analytical Services, LLC_
Page 7 of 27
PO Box 228 a Statesville, NC 28687 a 704/872/4697
Page 16 of 38

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StatesvilKNC 29687
(704) 972-4W
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Address:
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Relinquished by: Time am, pm Date Holding times met:
Received by: Time am, pm Date Compliance wok
Comnaft Sampling-01;
Time begin— am, pm Date Non-compliance work:____
Time and---..-----am,pm Date Lab Comments: Samples Trantpoded On low
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NCDAB,CS Agronomic Division Phone: [phone]
Website: www.neagr.gov/agronomi/
Report No. FY21-SLO13289
i
-p Predictive
Client: Bill Hinson
537 Rock Ford Rd
y
Advisor:
Zach Key
Southern Soil Builders
r
Roaring River, NC 28669
958 Hoots Rd
��� ReportMehIICh-3 Extraction
Roaring River, NC 28669
Sampled County : Wilkes
Links to Helpful Information
�
Client ID: 478377
Advisor
ID: 231531
Sampled: Received: 11/1112020 Completed: 12/02/2020
Farm:
Sample ID: BH01
Recommendations: Lime
Nutrients (lb/acre)
More
I
Crop (tonslacre)
N P205
K20 Mg S Mn
Zn
Cu
B
information
Lime History:
1- FescuelOGrass/Tim, M 1.0
120-200 0
0 0 0 0
0
0
0
Note: 12
2- 0.0
i Test Results [units - WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg/drr?]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-1
Na ESP SS-1 NO3-N
1.49 0.97 7.5 72 2.1 5.5 129 85
50 17
51
155 110 201
201
352
0.2 3
Sample ID: BH02
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonslacre)
N P205
K20 Mg S Mn
Zn
Cu
B
Information
Lime History:
1- Fescue/OGrass/Tim, M 1.0
120-200 0
30 0 0 0
0
0
0
Note: 12
2- 0.0
Test Results [units - W/V in glcm3; CEC and Na in meq/100 cm3; NO3-N in mg1dm13]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
1.02 1.01 6.3 67 2A 5.4 116 57
47 16
42
125 92 317
317
650
0.1 2
Sample ID: BH03
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N P205
K20 Mg S Mn
Zn
Cu
B
Information
Lime History:
1-Fesoue/OGrass/Tim, M 1.0
120-200 0
10 0 0 0
0
0
0
Note: 12
2- 0.0
Test Results [units -WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg/dry?):
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-1
Na ESP SS-1 NO3-N
0.76 1.01 5.9 66 2.0 5.4 215 75
45 15
50
142 102 399
399
832
0.1 2
North Carolina
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler. Commissioner of Aariculture

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No.
FY21-SLO13289
Bill Hinson
Page 2 of 3
Sample ID: BH04
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1- Fescue/OGrass/Tim, M 1.5
120-200 0
70
0
0
0
0
0
0
Nate: 12
2 - 0.0
j Test Results [units - W!V in g/cm3; CEC and Na in meg1100 cm3; NO3-N in mg/drr?]:
Soil Class:
Mineral
HM% WfV CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-I
Mn-I
Mn-All
Mn-Al2 Zn-I
Zn-AI
Cu-I
Na ESP
SS-1 NO3-N
0.97 0.96 7.1
63 2.6 5.2 329 33
45 16
60
116
87
580
580
939
0.2
3
Sample ID. BH05
Recommendations: Lime
Nutrients (lb/acre)
More I
Crop (tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
i
Lime History:
1-FescuelOGrass/Tim, M 1.8
120-200 0
0
0
0
0
0
0
0
Note: 12
2 - 0.0
Test Results [units - WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg/dry?]:
i
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-1
Na ESP
SS-1 NO3-N
1.19 0.90 6.5
55 2.9 5.0 301 84
36 13
90
160
113
407
407
756
02
3

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.govlagronomi!
Report No. FY21-SLO13289
Bill Hinson
B
Page 3 of 3
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
%GEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at onE
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate;
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent i
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other ►arge areas are listed separately for each nutrient to be added (in units of
K-I
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
potash
for the crop being grown, not on soil test results. K-I and P-1 values are based on test results and should be > 50. If they
Mq %
%CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
Mn
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn-All
manganese
Mn-availability index for crop 1
only on reports for greenhouse soil or problem samples.
Mn-AI2
Mn-availability index for crop 2
to levels. If $, $pH, C or Z
Mn-I
manganese index
Farmers and other commercial producers should pay special attention micronutrient pH$,
M-O
mineral -organic soil class
I notations appear on the soil report, refer to Note: Secondary Nutrients and Micronutrients In general, homeowners do not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft . If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.nca r. ov/a ronomi/ob art4.hf lnd information that
P-I
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P2O5
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
WN
weight per volume
Zn-AI
zinc availability index
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-I
zinc index
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-1, Zn-AI, Cud, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinely
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaqr.govlauronomiluvrst.htm